Person support apparatuses with load cells

ABSTRACT

A person support apparatus, such as a bed, cot, stretcher, chair, or the like, includes a frame, a support surface supported by the frame, a plurality of load cells that detect weight supported on the support surface, at least one A/D converter, and a controller. The load cells output analog signals that are converted to digital by the A/D converters. The controller switches a sampling rate of the A/D converters between at least first and second rates. The outputs from the load cells are forwarded to a plurality of signal acquisition nodes that include the A/D converters. The nodes are positioned at locations that minimize the length of travel of the analog signals, thereby reducing noise interference. Shivering, occupant absence/presence, vital signs, occupant movement, and/or other parameters are detected by the load cells.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to U.S. patent application Ser. No.15/826,779 filed Nov. 30, 2017, by inventors Marko Kostic et al. andentitled PERSON SUPPORT APPARATUSES WITH LOAD CELLS, which in turnclaims priority to U.S. provisional patent application Ser. No.62/428,834 filed Dec. 1, 2016, by inventors Marko Kostic et al. andentitled PERSON SUPPORT APPARATUSES WITH LOAD CELLS, the completedisclosures of both of which are incorporated herein by reference.

BACKGROUND

The present disclosure relates to person support apparatuses, such asbeds, cots, stretchers, operating tables, recliners, or the like. Morespecifically, the present disclosure relates to person supportapparatuses that include load cells.

Existing hospital beds and/or stretchers often include a load cellsystem that is used to detect the weight of an occupant of the bed orstretcher, and/or that is used as an exit detection system. Whenfunctioning as a scale system, the outputs of the load cells are readand a weight of the occupant is detected. When functioning as an exitdetection system, the outputs of the load cells are read and used todetect when a patient has exited the bed or stretcher, or when a patientmay be about to exit the bed or stretcher.

SUMMARY

According to various embodiments, the present disclosure provides aperson support apparatus having an improved load cell system that isconfigured to provide more accurate results. In some embodiments, theperson support apparatus includes load cells whose outputs are bettershielded from Electromagnetic Interference (EMI). The person supportapparatus may also or alternatively include analog-to-digital convertersthat operate at multiple sampling rates whereby the sampling rates areautomatically controlled based on one or more conditions. In someembodiments, the load cells are used to monitor and log the times atwhich a person has been on the person support apparatus and the times atwhich the person has been out of the person support apparatus. Automatictaring of the scale system may also or alternatively be included.

According to one embodiment, a person support apparatus is provided thatincludes a frame, a plurality of load cells, a support surface, ananalog-to-digital converter, and a controller. The load cells aresupported by the frame and adapted to output analog signals indicativeof loads detected by the load cells. The support surface supportsthereon an occupant of the person support apparatus and is configuredsuch that a weight of the occupant is detectable by the load cells whenthe occupant is positioned on the support surface. The analog-to-digitalconverter converts the analog signals from at least one of the loadcells into digital signals at a first rate and at a second rate. Thecontroller switches the analog-to-digital converter between the firstrate and the second rate.

According to another embodiment, a person support apparatus is providedthat includes a frame, a plurality of load cells, a support surface, afirst signal acquisition node, a second signal acquisition node, and acontroller. The load cells are supported by the frame and adapted tooutput analog signals indicative of loads detected by the load cells.The support surface is adapted to support thereon an occupant of theperson support apparatus. The support surface is supported by the loadcells such that a weight of the occupant is detectable by the load cellswhen the occupant is positioned on the support surface. The first signalacquisition node comprises a first analog-to-digital converter adaptedto convert analog signals from a first one of the load cells intodigital signals. The second signal acquisition node is spaced away fromthe first signal acquisition node and comprises a secondanalog-to-digital converter. The second analog-to-digital converterconverts analog signals from a second one of the load cells into digitalsignals. The controller is spaced from the first and second signalacquisition nodes and coupled thereto by wires. The controllerdetermines a weight supported on the support surface based upon thedigital signals from the first and second signal acquisition nodes.

According to another embodiment, a person support apparatus is providedthat includes a frame, load cells, a support surface, ananalog-to-digital converter, and a controller. The load cells aresupported by the frame and adapted to output analog signals indicativeof loads detected by the load cells. The support surface is adapted tosupport thereon an occupant of the person support apparatus. The supportsurface is supported by the load cells such that weight supported on thesupport surface is detectable by the load cells. The analog-to-digitalconverter converts analog signals from at least one of the load cellsinto digital signals at a first rate and at a second rate. Thecontroller detects when weight is added and removed from the supportsurface and switches between the first and second rates based ondetecting added weight and removed weight.

According to still another embodiment, a person support apparatus isprovided that includes a frame, a plurality of load cells, a supportsurface, and a controller. The load cells are supported by the frame andare each adapted to output analog signals indicative of loads detectedby the load cells. The support surface is adapted to support thereon anoccupant of the person support apparatus. The support surface issupported by the load cells such that weight supported on the supportsurface is detectable by the load cells. The controller uses outputsfrom the load cells to detect and record an entry time when the occupantenters the person support apparatus and to detect and record an exittime when the occupant exits the person support apparatus.

According to other aspects, the controller switches between the firstand second rates of the analog-to-digital converters based upon thedigital signals output from the analog-to-digital converters.

In some embodiments, the first rate is more than one hundred times asfast as the second rate.

The controller is adapted to switch from a slow rate to a fast rate, insome embodiments, whenever a change above a threshold amount occurs inthe digital signals from an analog-to-digital converter. Alternatively,or additionally, the controller is adapted to switch to the slow ratewhen changes above the threshold amount are not detected for a thresholdtime in the digital signals.

The controller uses the digital signals from the at least one of theload cells to determine a weight of the occupant in some embodiments.When doing so, the controller determines the weight of the occupant whenthe analog-to-digital converter is operating at the slow rate.

The controller is programmed, in some embodiments, to automaticallydetermine a tare weight before the occupant enters the support surface.

In some embodiments, the controller uses the digital signals from theload cells to determine when the occupant enters the person supportapparatus and when the occupant exits the person support apparatus. Thecontroller also records an entry time when the occupant enters theperson support apparatus and an exit time when the occupant exits theperson support apparatus. The controller is adapted to display the entrytime and exit time on a display of the person support apparatus. In someembodiments, the person support also includes a transceiver adapted tocommunicate with an off-board device, and the controller transmits theentry time and exit time to the off-board device.

In some embodiments, the first signal acquisition node sends the digitalsignals from the first analog-to-digital converter to the second signalacquisition node, and the second signal acquisition node sends thedigital signals from both the first and second analog-to-digitalconverters to the controller. The first signal acquisition node and thefirst one of the load cells are both positioned adjacent a head end ofthe person support apparatus, in at least one embodiment. In suchembodiments, the second signal acquisition node and the second one ofthe load cells are both positioned adjacent a foot end of the personsupport apparatus.

In some aspects of the disclosure, the first and second signalacquisition nodes include first and second filters adapted to filter outfrequencies above a threshold in the analog signals from the load cells.

The first signal acquisition node may include first processing circuitryadapted to analyze the digital signals from the first analog-to-digitalconverter to determine whether to operate the first analog-to-digitalconverter at the first rate or the second rate. In such embodiments, thesecond signal acquisition node includes second processing circuitryadapted to analyze the digital signals from the second analog-to-digitalconverter to determine whether to operate the second analog-to-digitalconverter at the first rate or the second rate.

According to other aspects, the controller is configured toautomatically distinguish between weight changes resulting from theoccupant entering or exiting the person support apparatus and weightchanges resulting from objects added to or removed from the personsupport apparatus.

The load cells may be part of an exit detection system having an armedstate in which the controller issues an alert when the occupant exitsthe person support apparatus and a disarmed state in which thecontroller does not issue an alert when the occupant exits the personsupport apparatus. In such embodiments, the controller detects whenweight is added and removed from the support surface when the exitdetection system is in both the armed state and the disarmed state. Thecontroller may be further adapted to automatically change the exitdetection system to the armed state after the occupant enters the personsupport apparatus.

In some embodiments, the person support apparatus includes at least fourload cells.

In any of the person support apparatuses described herein, the personsupport apparatus may be one of a bed, a recliner, a cot, and astretcher.

Before the various embodiments disclosed herein are explained in detail,it is to be understood that the claims are not to be limited to thedetails of operation or to the details of construction and thearrangement of the components set forth in the following description orillustrated in the drawings. The embodiments described herein arecapable of being practiced or being carried out in alternative ways notexpressly disclosed herein. Also, it is to be understood that thephraseology and terminology used herein are for the purpose ofdescription and should not be regarded as limiting. The use of“including” and “comprising” and variations thereof is meant toencompass the items listed thereafter and equivalents thereof as well asadditional items and equivalents thereof. Further, enumeration may beused in the description of various embodiments. Unless otherwiseexpressly stated, the use of enumeration should not be construed aslimiting the claims to any specific order or number of components. Norshould the use of enumeration be construed as excluding from the scopeof the claims any additional steps or components that might be combinedwith or into the enumerated steps or components.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a person support apparatus according toa first embodiment;

FIG. 2 is a perspective view of a litter and a pair of lift headerassemblies with load cells of the person support apparatus of FIG. 1;

FIG. 3 is a perspective view of a base of the person support apparatusof FIG. 1;

FIG. 4 is a plan view block diagram of a load cell system incorporatedinto a person support apparatus, such as the person support apparatus ofFIG. 1;

FIG. 5 is a detailed block diagram of a signal acquisition node of theload cell system of FIG. 4;

FIG. 6 is a block diagram of an alternative load cell system that may beincorporated into the person support apparatus of FIG. 1, as well asother person support apparatuses;

FIG. 7 is a block diagram of yet another alternative load cell systemthat may be incorporated into the person support apparatus of FIG. 1, aswell as other person support apparatuses;

FIG. 8 is a graph of an illustrative gross weight output from the loadcell systems disclosed herein illustrating a manner of auto-zeroing ascale system; and

FIG. 9 is another graph of an illustrative gross weight output from theload cell systems disclosed herein illustrating another manner ofauto-zeroing a scale system when the scale system has already detectedan object.

DETAILED DESCRIPTION OF THE EMBODIMENTS

An illustrative person support apparatus 20 according to a firstembodiment is shown in FIG. 1. Although the particular form of personsupport apparatus 20 illustrated in FIG. 1 is a bed adapted for use in ahospital or other medical setting, it will be understood that personsupport apparatus 20 could, in different embodiments, be a cot, astretcher, a gurney, a recliner, an operating table, a residential bed,or any other structure capable of supporting a person, whetherstationary or mobile and/or whether medical or residential.

In general, person support apparatus 20 includes a base 22 having aplurality of wheels 24, a pair of lifts 26 supported on the base, alitter frame 28 supported on the lifts 26, and a support deck 30supported on the litter frame 28. Person support apparatus 20 furtherincludes a footboard 34 and a plurality of siderails 36. Siderails 36are all shown in a raised position in FIG. 1 but are each individuallymovable to a lower position in which ingress into, and egress out of,person support apparatus 20 is not obstructed by the lowered siderails36.

Lifts 26 are adapted to raise and lower litter frame 28 with respect tobase 22. Lifts 26 may be hydraulic actuators, pneumatic actuators,electric actuators, or any other suitable device for raising andlowering litter frame 28 with respect to base 22. In the illustratedembodiment, lifts 26 are operable independently so that the tilting oflitter frame 28 with respect to base 22 can also be adjusted. That is,litter frame 28 includes a head end 38 and a foot end 40, each of whoseheight can be independently adjusted by the nearest lift 26. Personsupport apparatus 20 is designed so that when an occupant lies thereon,his or her head will be positioned adjacent head end 38 and his or herfeet will be positioned adjacent foot end 40.

Litter frame 28 provides a structure for supporting support deck 30,footboard 34, and siderails 36. Support deck 30 provides a supportsurface for a mattress (not shown in FIG. 1), or other soft cushion, sothat a person may lie and/or sit thereon. The top surface of themattress or other cushion forms a support surface for the occupant.Support deck 30 is made of a plurality of sections, some of which arepivotable about generally horizontal pivot axes. In the embodiment shownin FIG. 1, support deck 30 includes a head section 42, a seat section44, a thigh section 46, and a foot section 48. Head section 42, which isalso sometimes referred to as a Fowler section, is pivotable about agenerally horizontal pivot axis between a generally horizontalorientation (not shown in FIG. 1) and a plurality of raised positions(one of which is shown in FIG. 1). Thigh section 46 and foot section 48may also be pivotable about generally horizontal pivot axes.

FIG. 2 illustrates in greater detail litter frame 28 separated fromlifts 26 and base 22. Litter frame 28 is also shown in FIG. 2 withsupport deck 30 removed. Litter frame 28 is supported by two lift headerassemblies 50. A first one of the lift header assemblies 50 is coupledto a top 32 (FIG. 3) of a first one of the lifts 26, and a second one ofthe lift header assemblies 50 is coupled to the top 32 of the second oneof the lifts 26. Each lift header assembly 50 includes a pair of loadcells 52. The illustrated embodiment of person support apparatus 20therefore includes a total of four load cells 52, although it will beunderstood by those skilled in the art that different numbers of loadcells may be used in accordance with the principles of the presentdisclosure. Load cells 52 are configured to support litter frame 28.More specifically, load cells 52 are configured such that they providecomplete and exclusive mechanical support for litter frame 28 and all ofthe components that are supported on litter frame 28 (e.g. support deck30, footboard 34, siderails 36, etc.). Because of this construction,load cells 52 are adapted to detect the weight of not only thosecomponents of person support apparatus 20 that are supported by litterframe 28 (including litter frame 28 itself), but also any objects orpersons who are wholly or partially being supported by support deck 30.

The mechanical construction of person support apparatus 20, as shown inFIGS. 1-3, is the same as, or nearly the same as, the mechanicalconstruction of the Model 3002 S3 bed manufactured and sold by StrykerCorporation of Kalamazoo, Michigan. This mechanical construction isdescribed in greater detail in the Stryker Maintenance Manual for theMedSurg Bed, Model 3002 S3, published in 2010 by Stryker Corporation ofKalamazoo, Mich., the complete disclosure of which is incorporatedherein by reference. It will be understood by those skilled in the artthat person support apparatus 20 can be designed with other types ofmechanical constructions, such as, but not limited to, those describedin commonly assigned, U.S. Pat. No. 7,690,059 issued to Lemire et al.,and entitled HOSPITAL BED; and/or commonly assigned U.S. Pat.publication No. 2007/0163045 filed by Becker et al. and entitled PATIENTHANDLING DEVICE INCLUDING LOCAL STATUS INDICATION, ONE-TOUCH FOWLERANGLE ADJUSTMENT, AND POWER-ON ALARM CONFIGURATION, the completedisclosures of both of which are also hereby incorporated herein byreference. The mechanical construction of person support apparatus 20may also take on forms different from what is disclosed in theaforementioned references.

Load cells 52 are part of a load cell system 54 (FIG. 4). Load cellsystem 54 includes, in addition to load cells 52, a first signalacquisition node 56 a, a second signal acquisition node 56 b, acontroller 58, a communications module 60, and a control panel 62. Loadcell system 54 functions as a scale system, an exit detection system,and/or an occupant monitoring system. When functioning as a scalesystem, load cell system 54 is adapted to measure the amount of weightthat is supported on litter frame 28. Through the use of an automatictaring function described in more detail below, the weight of the litterframe 28 and other components of the person support apparatus 20 can beseparated from the weight reading such that a weight of just theoccupant of person support apparatus 20 can be determined.

When load cell system 54 functions as an exit detection system, loadcell system 54 is adapted to determine when an occupant of personsupport apparatus 20 has left, or is likely to leave, person supportapparatus 20, and to issue an alert and/or notification to appropriatepersonnel so that proper steps can be taken in response to theoccupant's departure (or imminent departure) in a timely fashion. In atleast one embodiment, load cell system 54 acts as an exit detectionsystem by monitoring the distribution of mass or center of gravity ofthe patient using the system and method disclosed in commonly assignedU.S. Pat. No. 5,276,432 issued to Travis and entitled PATIENT EXITDETECTION MECHANISM FOR HOSPITAL BED, the complete disclosure of whichis incorporated herein by reference. Other manners for functioning as anexit detection system are also possible. Further, in some embodiments,load cell system 54 functions both as an exit detection system and as ascale system.

When operating as an occupant monitoring system, load cell system 54 isadapted to monitor movement of the occupant of person support apparatus20, including keeping track of when the occupant enters and leavesperson support apparatus 20, when objects are added to and/or removedfrom person support apparatus 20. In some embodiments, load cell system54 may also or alternatively monitor one or more vital signs of theoccupant, detect shivering of the occupant, and/or perform otheroccupant monitoring functions. When monitoring occupant movement, loadcell system 54 may be configured to monitor such movement based onchanges in the occupant's center of gravity or mass distribution, or onother factors. In at least one embodiment, load cell system 54 acts asan occupant monitoring system in any of the manners disclosed incommonly assigned U.S. patent application Ser. No. 14/873,734 filed Oct.2, 2015, by inventors Marko Kostic et al. and entitled PERSON SUPPORTAPPARATUS WITH MOTION MONITORING; and/or commonly assigned U.S. patentpublication 2016/0022218 filed Mar. 13, 2014, by inventors Michael Hayeset al. and entitled PATIENT SUPPORT APPARATUS WITH PATIENT INFORMATIONSENSORS, the complete disclosures of both of which are incorporatedherein by reference. Load cell system 54 may also monitor movement ofthe occupant of person support apparatus 20 in other ways, includingmanners discussed in greater detail below.

Load cells 52 are positioned generally adjacent each corner of litterframe 28, as shown more clearly in FIG. 4. A head end set of load cells52 a, 52 b is coupled to a head end signal acquisition node 56 a by wayof a pair of signal lines 82 a and 82 b. Signal lines 82 a and 82 b arewires, or other conventional communication media, that forward theanalog outputs of load cells 52 a, 52 b to head end signal acquisitionnode 56 a. A foot end set of load cells 52 c, 52 d is coupled to a footend signal acquisition node 56 b by way of a pair of signal lines 82 cand 82 d. Signal lines 82 c and 82 d, like signal lines 82 a and 82 b,are wires, or other conventional communication media, that forward theanalog outputs of load cells 52 c and 52 d to foot end signalacquisition node 56 b. Lines 82 a-d are therefore analog signal linesthat couple together two sets of load cells 52 to two signal acquisitionnodes 56 a and 56 b.

Because lines 82 a-d transmit analog signals, any electromagneticinterference or electrostatic discharges within the proximity of lines82 a-d are more likely to introduce errors into the analog signalstransmitted to signal acquisition nodes 56 a and 56 b along lines 82 a-dthan if these lines were transmitting digital signals. In order toreduce such errors, signal acquisition node 56 a is positioned generallymidway between the head end set of load cells 52 a and 52 b, therebyensuring that the physical lengths of lines 82 a and 82 b are as shortas possible. These shortened lengths reduce the ability of the lines 82a, 82 b to act as antennas for detecting electromagnetic interferenceand/or electrostatic discharges. Accordingly, head end signalacquisition node 56 a is centered between load cells 52 a and 52 b inorder to reduce the susceptibility of lines 82 a and 82 b to noise.

Foot end signal acquisition node 56 b is similarly positioned at alocation that is centered between foot end load cells 52 c and 52 d. Aswith head end signal acquisition node 56 a, foot end signal acquisitionnode 56 bs position midway between its neighboring load cells (52 c and52 d) ensures that the physical length of lines 82 c and 82 d is asshort as possible. This shortened length reduces the ability of thelines 82 c, 82 d to act as antennas for detecting electromagneticinterference and/or electrostatic discharges. Accordingly, foot endsignal acquisition node 56 b is centered between load cells 52 c and 52d in order to reduce the susceptibility of lines 82 c and 82 d to noise.

Each signal acquisition node 56 a and 56 b communicates with controller58 via a communication line 84. Communication lines 84, unlike signallines 82, convey digital signals, rather than analog signals.Accordingly, communication lines 84 are far less susceptible tointerference. As a result, the physical length of lines 84 is generallyimmaterial and controller 58 can be positioned at any suitable locationon person support apparatus 20. Controller 58 therefore can be movedfrom the position generally in the center of person support apparatus20, as shown in FIG. 4, to any suitable location on person supportapparatus 20. Indeed, in some embodiments, controller 58 may be mountedon a common circuit board on which one of signal acquisition nodes 56 isalso mounted. In other embodiments, each signal acquisition node 56 andcontroller 58 is mounted on its own circuit board.

Although the composition of each signal acquisition node 56 a, 56 b mayvary, FIG. 5 illustrates one illustrative embodiment of implementingsignal acquisition node 56 a and/or 54 b. As shown therein, signalacquisition node 56 includes protection circuitry 64, one or more lowpass filters and/or amplifiers 66, an analog-to-digital converter 68,memory 70 in which one or more algorithms are stored, a sensor network72, a digital signal processor 74, a diagnostics module 76, a powersupply 78, and communications circuitry 80.

Protection circuitry 64 (FIG. 5) includes one or more circuits adaptedto reduce noise caused by electromagnetic interference (EMI) and/orelectrostatic discharge (ESD) and to reduce or prevent its interferencewith the proper operation of load cells 52 and signal acquisition node56. Low pass filter/amplifier 66 filters and/or amplifies the outputsfrom each load cell 52 that is fed into signal acquisition node 56 viasignal lines 82 (FIG. 4). The cutoff frequency of the low pass filteringis chosen to remove high frequency components received from lines 82that are due to noise and/or that represent signal components that areunrelated to the scale, exit alert, and/or occupant monitoring functionsof load cell system 54.

In the illustrated embodiment, analog-to-digital (ND) converter 68 is atleast a two channel A/D converter wherein a first channel converts theanalog signals received from a first load cell (e.g. 52 a) to digitalsignals and a second channel converts the analog signals from a secondload cell (e.g. 52 b) to digital signals (FIG. 4). The digital signalsoutput from each channel of A/D converter 68 are then fed to digitalsignal processor 74 for further processing. In some embodiments, twoseparate single-channel ND converters 68 are used in place of a singledual-channel ND converter 68. Regardless of the number of channelsand/or A/D converters 68, each ND converter is capable of operating atdifferent sampling rates. As will be discussed in greater detail below,the sampling rate at which the ND converters 68 sample the analogsignals received from lines 82 is varied by load cell system 54. Thechanges to this sampling rate are carried out, in at least oneembodiment, by digital signal processor 74.

Memory 70 (FIG. 5) includes programming stored therein for carrying outone or more algorithms executed by digital signal processor 74. Suchalgorithms include algorithms for processing the outputs from load cells52, as well as, in at least some embodiments, fusing the outputs fromload cells 52 with the outputs from one or more additional sensors thatfeed into signal acquisition node 56. Such additional sensors may varyfrom embodiment to embodiment. In some embodiments, the additionalsensors include one or more accelerometers adapted to detectaccelerations caused by movement of the occupant of person supportapparatus 20 while the occupant is positioned on support deck 30. Oneexample of such an accelerometer sensing system is disclosed in commonlyassigned U.S. patent application Ser. No. 62/253,167 filed Nov. 10,2015, by inventors Marko Kostic et al. and entitled PERSON SUPPORTAPPARATUSES WITH ACCELERATION DETECTION, the complete disclosure ofwhich is incorporated herein by reference.

Another type of sensor whose data may be fused with the outputs fromload cells 52 is a thermal image sensor adapted to capture thermalimages of the occupant of person support apparatus 20 while the occupantis supported on person support apparatus 20. One example of a thermalimaging system with outputs suitable for fusing with the outputs of loadcells 52 is disclosed in U.S. patent application Ser. No. 14/692,871filed Apr. 22, 2015, by inventors Marko Kostic et al. and entitledPERSON SUPPORT APPARATUS WITH POSITION MONITORING, the completedisclosure of which is incorporated herein by reference. Another type ofsensor whose data may be fused with the outputs from the load cells 52is a sensor that detects the presence/absence of a component of personsupport apparatus 20 whose weight is detectable by load cell system 54.For example, a sensor may be used to detect if footboard 34 is presentor not, or a headboard, or another component. Adjustments to the taringand/or zeroing functions of the load cell system can be made accordingto changes detected by these types of sensors. Still other types ofsensors may be used whose outputs are fused with the outputs from loadcells 52 and used for performing, or assisting in the performance of,one or more of the scale, exit detection, and/or occupant monitoringfunctions of load cell system 54.

Sensor network 72 (FIG. 5) refers to the load cells 52 that are coupledto signal acquisition node 56 by way of signal lines 82, as well as anyother additional sensors that have their outputs fused together with theoutputs of load cells 52.

Digital signal processor 74 (FIG. 5) is, in at least one embodiment, aconventional microcontroller. It will be understood, however, thatdigital signal processor 74 may take on other forms. In general, digitalsignal processor 74 may include any one or more microprocessors,microcontrollers, field programmable gate arrays, systems on a chip,volatile or nonvolatile memory, discrete circuitry, and/or otherhardware, software, or firmware that is capable of carrying out thefunctions described herein, as would be known to one of ordinary skillin the art. Such components can be physically configured in any suitablemanner, such as by mounting them to one or more circuit boards, orarranging them in other manners, whether combined into a single unit ordistributed across multiple units. The instructions followed by digitalsignal processor 74 when carrying out the functions described herein, aswell as the data necessary for carrying out these functions, are storedin memory 70.

Diagnostic circuits 76 (FIG. 5) include one or more circuits used bydigital signal processor 74 for carrying out one or more diagnosticfunctions associated with signal acquisition node 56. In someembodiments, diagnostic circuits 76 include one or more of the circuitsdisclosed in commonly assigned U.S. patent application Ser. No.15/185,623 filed Jun. 17, 2016, by inventors Marko Kostic et al. andentitled PERSON SUPPORT APPARATUS WITH LOAD CELLS, the completedisclosure of which is incorporated herein by reference. Other types ofdiagnostic circuits can, of course, be used.

Power supply 78 (FIG. 5) includes circuitry for regulating theelectrical power supplied to signal acquisition node 56 and load cells52. Such circuitry 78 may include conventional components and designsfor regulating and supplying electrical power, including, but notlimited to, circuitry for rectifying alternating current (AC) to directcurrent (DC) and/or circuitry for changing the supplied voltage levelsto voltage levels suitable for the electrical components of load cellsystem 54.

Communications circuitry 80 (FIG. 5) provides communication abilities tosignal acquisition node 56 enabling it to communicate with controller 58over communication line 84 (FIG. 4). As noted previously, communicationlines 84 are digital communication lines in the illustrated embodiment.This contrasts with signal lines 82, which are analog. Communicationlines 84 are, in at least one embodiment, wired communication paths.Such wired communication may be implemented using any of the following:a Controller Area Network (CAN) bus, a Local Interconnect Network (LIN)bus, Firewire, I-squared-C, RS-232, RS-485, a Universal Serial Bus(USB), and/or a Serial Peripheral Interface (SPI) bus. Other types ofcommunication protocols may also be used, including wirelesscommunication.

Communications circuitry 80 includes transceivers and/or other circuitrynecessary for implementing the particular communication protocol used bysignal acquisition node 56. In some embodiments, communication lines 84may be Ethernet lines, such as disclosed in commonly assigned U.S.patent application Ser. No. 14/622,221 filed Feb. 13, 2015, by inventorsKrishna Bhimavarapu et al. and entitled COMMUNICATION METHODS FORPATIENT HANDLING DEVICES, the complete disclosure of which isincorporated herein by reference. In such instances, communicationcircuitry 80 includes one or more Ethernet interfaces and/or magneticsfor implementing Ethernet communications with controller 58.

Controller 58 communicates with each signal acquisition node 56 a, 56 b,as well as communications module 60 and control panel 62 (FIG. 4).Communications module 60 includes one or more transceivers thatcommunicate with one or more off-board devices. In one embodiment,module 60 includes a WiFi radio adapted to communicate with wirelessaccess points of a healthcare facility's computer network, therebyenabling the person support apparatus 20 to communicate wirelessly withthe computer network of the healthcare facility. Module 60 may also oralternatively include an Ethernet connection, or other wired circuitry,for enabling wired communication with the hospital network, as well asnurse call cable circuitry for coupling to a nurse call cable thatcommunicates with a nurse call system of a healthcare facility.

Controller 58, as with digital signal processors 74, is amicrocontroller, in at least one embodiment. In other embodiments,controller 58 may include any one or more microprocessors,microcontrollers, field programmable gate arrays, systems on a chip,volatile or nonvolatile memory, discrete circuitry, and/or otherhardware, software, or firmware that is capable of carrying out thefunctions described herein, as would be known to one of ordinary skillin the art. Such components can be physically configured in any suitablemanner, such as by mounting them to one or more circuit boards, orarranging them in other manners, whether combined into a single unit ordistributed across multiple units. The instructions followed bycontroller 58 in carrying out the functions described herein, as well asthe data necessary for carrying out these functions, are stored in amemory (not labeled) accessible to controller 58.

The analog outputs from load cells 52 are passed via lines 82 to signalacquisition nodes 56 a and 56 b (FIG. 4). After having high frequencycomponents removed via low pass filters/amplifiers 66, each signalacquisition node 56 converts the analog signals received via line 82into digital signals using analog-to-digital converters 68. In additionto converting the analog load cell signals into digital signals, eachsignal acquisition node 56 also scales the outputs from the individualload cells 52 and/or calibrates the outputs from each load cell 52. Thisscaling and/or calibration is performed by signal processor 74 of eachsignal acquisition node 56 and is based, at least partly, uponindividual characteristics of each load cell 52. After the digitizedoutputs from each load cell have been processed by signal processor 74,they are transmitted via communications circuitry 80 over communicationlines 84 to controller 58. As mentioned previously, in some embodiments,one or more additional sensors feed their outputs into signalacquisition nodes 56. In those embodiments, the outputs from theadditional sensors are digitized, scaled, calibrated, and/or otherwiseprocessed by signal processor 74 before being transmitted over lines 84to controller 58.

The data that is transmitted over line 84 to controller 58 is timestamped, or otherwise indexed, so that controller 58 is able to matchthe data received from head end signal acquisition node 56 a with thedata received from foot end signal acquisition node 56 b. In otherwords, the messages transmitted over lines 84 to controller 58 include atime stamp or other type of indexing feature to allow controller 58 tomatch the readings from load cells 52 a and 52 b that were taken at timeX with the readings from load cells 52 c and 52 d that were also takenat time X (or, in some cases, the readings from load cells 52 c and 52 dthat were taken at a time that most closely matches time X). If datafrom other sensors is also forwarded to controller 58, such timestamping or indexing features may also be sent with that data as well.

Controller 58 processes the data from signal acquisition nodes 56 indifferent manners depending upon how load cell system 54 is being usedat a given time. As noted previously, load cell system 54 may be used asa scale, as an exit detection system, and/or as an occupant monitoringsystem. Control panel 62 includes a scale control 86 a (FIG. 4) that isselectable by a user of person support apparatus 20. When the scalecontrol 86 a is selected, controller 58 processes the load cell datafrom signal acquisition nodes in a manner that yields an accurate weightof the occupant. This is accomplished by summing the measurements fromall of the load cells 52 that were taken at the same time, orsubstantially the same time. Multiple measurements may be used in someembodiments that are then averaged or otherwise combined.

Control panel 62 also includes an exit detection control 86 b (FIG. 4)that, when selected, arms an exit detection system. When the exitdetection system is armed, controller 58 processes the data from signalacquisition nodes 56 to determine if the occupant is moving in a mannersuggestive of an impending exit from person support apparatus 20, and/orto determine if the occupant has exited from person support apparatus20. If either condition is present, controller 58 issues an alert, whichmay be both local to person support apparatus 20 and/or remote to personsupport apparatus 20 (the remote alert is accomplished by sending analert message to a remote device via communications module 60).

When the exit detection system is armed, controller 58 determines if theoccupant is about to exit, or already has exited, from person supportapparatus 20 by computing a center of gravity of the occupant of personsupport apparatus 20 using the digital data supplied by signalacquisition nodes 56, and then comparing the center of gravity to one ormore zones or other boundary criteria. Alternatively, controller 58determines if the occupant is about to exit, or already has exited, fromperson support apparatus 20 by determining a distribution of the weightsdetected by each load cell 52 and comparing the detected weightdistribution to one or more thresholds. The weight distribution uniquelyidentifies the center of gravity whether the center of gravity isexplicitly calculated or not.

In some embodiments, person support apparatus 20 does not include anoccupant monitoring control. Instead, controller 58 is adapted toautomatically monitor the movement of the occupant whenever personsupport apparatus 20 is powered, or automatically monitor the movementof the occupant based on one or more other conditions. In otherembodiments, control panel 62 may include an occupant monitoring control(e.g. control 86 c of FIG. 4) that allows a user to selectively startand stop the occupant monitoring function. The occupant monitoringfunction includes monitoring whether the occupant is present or absenton person support apparatus 20, keeping track of the times when theoccupant exits from, and returns to, person support apparatus 20, and,in some embodiments, tracking the movement of the occupant when he orshe is present on person support apparatus 20.

Further, in some embodiments, as will be discussed in greater detailbelow, the occupant monitoring function also includes an automatictaring function that automatically calculates a tare weight reading. Thetare weight reading is stored in memory and used to automaticallycompute the weight of the occupant after he or she enters or leavesperson support apparatus 20. Tare weight readings may also be determinedautomatically at other times in order to detect and determine thechanges in weight associated with the addition and removal of objectsfrom person support apparatus 20. The tare weight readings are used insome embodiments to distinguish the weight of the occupant of personsupport apparatus 20 from the weight of non-patient items, such as thephysical components of support deck 30, litter frame 28, bedding,pillows, etc. By knowing the tare weight, controller 58 is able toautomatically zero the scale system by subtracting the tare weight fromthe current weight reading. If the occupant is absent from personsupport apparatus 20, the result of this subtraction is zero. If theoccupant is present, the result of this subtraction is the patient'sweight.

Still further, in some embodiments, the occupant monitoring functionincludes monitoring one or more of the occupant's vital signs whensupported on person support apparatus 20. Alternatively, control panel62 may include a separate vital signs monitoring control that, whenactivated, instructs load cell system to start or stop monitoring one ormore vital signs of the occupant. In some embodiments, the vital signsinclude the occupant's breathing rate and heart rate. The monitoring ofthe occupant's heart rate is made possible by the forces transferredonto support deck 30 from the occupant's heartbeat, which are detectableby load cells 52. Similarly, the monitoring of the occupant's breathingis made possible by the forces transferred onto support deck 30 from theexpansion and contraction of the occupant's chest cavity as he or shebreathes, and these forces are also detectable by load cells 52.Illustrative manners of detecting a person's heart rate and breathingrate that may be used with any of the load cell systems disclosed hereinare disclosed in commonly assigned U.S. Pat. No. 7,699,784 issued Apr.20, 2010, to David Wan Fong et al. and entitled SYSTEM FOR DETECTING ANDMONITORING VITAL SIGNS, the complete disclosure of which is incorporatedherein by reference. The detection of the occupant's vital signs usingload cells 52 may be augmented, or supplanted, with any of the methodsdisclosed in commonly assigned U.S. patent application Ser. No.62/253,167, which has previously been incorporated herein by reference.

In the embodiment illustrated in FIG. 4, when a user selects the scalecontrol 86 a, controller 58 sends a message along lines 84 to each ofthe signal acquisition nodes 56 informing them that the user hasselected the scale function. In response to this message, each digitalsignal processor 74 sends a control signal to its associated A/Dconverter 68 causing the A/D converter to switch from a higher samplingrate to a lower sampling rate. To the extent the ND converter 68 wasalready operating at a lower sampling rate (as will be discussed morebelow), A/D converter 68 continues to operate at the lower sampling rateuntil a control signal is subsequently received from digital signalprocessor 74 causing it to change sampling rates.

The values of the higher and lower sampling rates may vary, dependingupon the design of the specific A/D converter 68 used, the circuitry ofload cell system 54, the desired range of frequencies to be detected byload cells 52, and/or other factors. In one embodiment, the lowersampling rate refers to a sampling rate of 1 to 100 Hertz, and thehigher sampling rate refers to a sampling rate of approximately 1000Hertz or more. Other sampling rate ranges, however, can be used for thehigher and lower sampling rates. In some embodiments, any ranges may beused where the higher sampling rate is ten or more times as fast as thelower sampling rate. Still further, in some embodiments, controller 58is configured to select between more than two sampling rates, therebyinstructing the ND converters 68 to operate at at least three differentsampling rates, depending upon the particular function being carried outby load cell system 54 at that time.

The different sampling rates used by A/D converters 68 result indifferent levels of accuracy of the digitized outputs from the A/Dconverters 68, as would be known to a person of ordinary skill in theart. When an A/D converter is operating at a higher sampling rate, theaccuracy of the digitized outputs are lower than when the A/D converteris operating at a lower sampling rate. Operating at a lower samplingrate, however, reduces the ability of the A/D converter to detectoscillations in the load cell outputs. As is known from theNyquist-Shannon sampling theorem, the A/D converters 68 cannotaccurately reproduce signals from the load cells that oscillate atfrequencies greater than half the frequency of their sampling rates.Accordingly, controller 58 generally switches the sampling rates of A/Dconverters 68 between the two sampling rates depending upon the changingfunctions of load cell system 54, i.e. whether load cell system 54 isbeing used in a manner where accuracy of weight is desired or whetherload cell system 54 is being used in a manner where it is desirable todetect load cell oscillations having frequencies of more than half thesampling rate that aren't otherwise detectable without aliasing.

As noted previously, when a user selects the scale function using thescale control 86 a, controller 58 sends a message to the signalacquisition nodes 56 instructing them to switch their A/D converters 68to a lower sampling rate. This lower sampling rate continues for as longas it takes to obtain a successful weight reading. In some embodiments,the outputs from each of the load cells 52 is summed together multipletimes while the A/D converters 68 are operating at the low sampling rateand the multiple sums are averaged. Controller 58 reports this averageto control panel 62, in at least some embodiments.

In some embodiments, after the weight reading has been taken, signalacquisition nodes 56 automatically switch their respective A/Dconverters 68 back to their fast sampling rates. This automaticswitching occurs when person support apparatus 20 is configured toautomatically revert to the occupant monitoring function (in the absenceof a user actively selecting the scale control 86 a or the exitdetection control 86 b). If person support apparatus 20 is notconfigured to automatically revert to performing the occupant monitoringfunction when the scale function and/or exit detection functions are notactive, controller 58 may continue to have ND converters 68 process theload cell outputs at a slow sampling rate until a user takes an action,or an event occurs, that prompts controller 58 to instruct A/D converter68 to switch to faster sampling rate.

When a user selects the exit detection control 86 b on control panel 62to activate the exit detection function (i.e. arm the exit detectionsystem), controller 58 changes the sampling rate of A/D converters 68 indifferent manners, depending upon what other functions are being carriedout by load cell system 54 at that time. For example, it is possible tosimultaneously activate both the scale function and the exit detectionfunction. If the scale function is activated at the same time the exitdetection function is activated, controller 58 instructs A/D converters68 to take samples at a slow rate. If the scale function is notactivated and the exit detection function is activated, controller 58instructs A/D converters 68 (via digital signal processors 74 of signalacquisition nodes 56) to take samples at the faster rate. If neither thescale control 86 a nor the exit detection control 86 b is activated,controller 58 instructs A/D converters 68 to take samples at the fastrate.

In at least one embodiment, controller 58 instructs the ND converters 68to take samples at the slower rate when scale control 86 a is activated,and controls the sampling rates of the ND converters 68 at other timesbased upon the outputs of the load cells. In such embodiments, some ofwhich are discussed in greater detail below with respect to FIGS. 8 and9, the sampling rate of the A/D converters 68 may vary automaticallyduring time periods when the exit detection control 86 b has beenactivated, and may also vary automatically during time periods whenneither the exit detection control 86 b nor the scale control 86 a havebeen activated, such as when the occupant monitoring function is takingplace. Still further, in some embodiments, such as, but not limited to,those embodiments where a patient's vital signs are being monitored,controller 58 may be configured to automatically switch to the fastersampling rate at all times when an accurate weight reading is notneeded.

FIG. 6 depicts an alternative load cell system 54 a that may be usedwith person support apparatus 20. Those components of load cell system54 a that are common to load cell system 54 are numbered with the samereference numbers. Those components of load cell system 54 a that arenot found in load cell system 54, or that are modified from load cellsystem 54, are provided with a new or modified reference number anddescribed in more detail below. Load cell system 54 a is adapted toimplement and perform any or all of the functions described above withrespect to load cell system 54. These include, but are not limited to,performing a scale function, acting as an exit detection system,monitoring movement of the occupant (including gross movement and/orshivering), and monitoring one or more vital signs of the occupant.

One of the differences between load cell system 54 a and load cellsystem 54 is the addition of a communications channel 90 directlybetween head end signal acquisition node 56 a and foot end signalacquisition node 56 b. Channel 90 is a digital communications channelthat may be implemented in any of the various manners described abovewith respect to communication lines 84 (e.g. a CAN bus, a LIN bus,Firewire, I-squared-C, RS-232, RS-485, USB, an SPI bus, Ethernet, etc.).Foot end signal acquisition node 56 b sends the digitized, filtered, and(in some cases) processed outputs from load cells 52 c and 52 d to headend signal acquisition node 56 a via communication channel 90, unlikesignal acquisition node 56 b of load cell system 54, which sends thisinformation directly to controller 58. Digital signal processor 74 ofhead end signal acquisition node 56 a uses the signals from foot endsignal acquisition node 56 b to compute the detected weight, movement,and/or vital signs of the occupant of person support apparatus 20. Thecomputed outputs are then forwarded to controller 58 which takes one ormore steps in response (e.g. displaying information from load cellsystem 54 a on a display of control panel 62, forwarding informationfrom load cell system 54 a to another device via communications module60, etc.).

Head end signal acquisition node 56 a computes a detected weight,movement (including, but not limited to, movement indicative of an exitfrom person support apparatus 20), and/or vital signs of the occupant inany of the manners previously described with respect to controller 58and load cell system 54. In performing these calculations, head endsignal acquisition node 56 a changes the sampling rate of its A/Dconverter 68 and sends commands via channel 90 to the A/D converter 68of foot end signal acquisition node 56 b to change its sampling rate.The changes to the sampling rates are carried out in accordance with anyof the algorithms described above with respect to load cell system 54(e.g. switching to a slow rate when weighing the occupant, switching toa faster rate when detecting vital signs, shivering, and/or movement,etc.).

Load cell system 54 a thus differs from load cell system 54 primarily inthat the computational burden of processing the outputs from the twosignal acquisition nodes 56 a and 56 b is offloaded from controller 58to the digital signal processor 74 of head end signal acquisition node56 a. It will, of course, be understood by those skilled in the art thatload cell system 54 a may be modified so that the computational burdenis offloaded to digital signal processor 74 of foot end signalacquisition node 56 b instead. In this modified embodiment, head endsignal acquisition node 56 a sends the digitized outputs from load cells52 a and 52 b over channel 90 to foot end signal acquisition node 56 bfor processing. Foot end signal acquisition node 56 b thereafter sharesthe processed results with controller 58 via a communication line 84that extends therebetween (not shown in FIG. 6).

FIG. 7 depicts another alternative load cell system 54 b that may beused with person support apparatus 20. Those components of load cellsystem 54 b that are common to load cell systems 54 and/or 54 a arenumbered with the same reference numbers. Those components of load cellsystem 54 b that are not found in load cell systems 54 or 54 a, or thatare modified from load cell systems 54 or 54 a, are provided with a newor modified reference number and described in more detail below. Loadcell system 54 b is adapted to implement and perform any or all of thefunctions described above with respect to load cell systems 54 and 54 a.These include, but are not limited to, performing a scale function,acting as an exit detection system, monitoring movement of the occupant,monitoring one or more vital signs of the occupant, and in someinstances, detecting shivering by the occupant.

Load cell system 54 b includes a communication channel 90 thatcommunicatively couples head end and foot end signal acquisition nodes56 a and 56 b together. Unlike load cell system 54 a where one of thenodes 56 a, 56 b sends its digitized outputs to the other node, both ofthe nodes 56 a and 56 b send their digitized data to each other. Thatis, each signal acquisition node 56 a and 56 b processes the outputsfrom its own two connected load cells 52 (received on signal lines 82)as well as the outputs from the other two load cells that are connectedto the other signal acquisition node (received via communication channel90). Signal acquisition nodes 56 a and 56 b therefore perform redundantprocessing. This is done in order to guard against failure of the entireload cell system 54 b if either signal acquisition node 56 or 56 bindividually fails. This helps ensure that load cells system 54 bcontinues to operate properly in the face of a single signal acquisitionnode failure.

In order to fully implement this redundancy, load cell system 54 bfurther includes a second communication line 84 a that extends betweenfoot end signal acquisition node 56 b and controller 58. The outputsfrom all four load cells 52 a-d that are processed by signal acquisitionnode 56 a are sent to controller 58 via communication line 84 while theoutputs from all four load cells 52 a-d that are processed by signalacquisition node 56 b are sent to controller 58 via communication line84 a. Communication lines 84 and 84 a therefore provide redundantcommunication pathways that allow the continued operation of load cellsystem 54 b in the event of the failure of one of these. In at least oneembodiment, controller 58 is programmed to select one of the sets ofredundant outputs (from nodes 56 a or 56 b) for further processing,display, and/or forwarding. In the event one set of these redundantoutputs fails, controller 58 switches to using the other set ofredundant outputs.

FIG. 8 depicts a graph 92 of the gross weight sensed by load cells 52over a time period in which an occupant enters person support apparatus20. This graph illustrates one manner in which any of load cell systems54, 54 a, and/or 54 b may implement an automatic-zeroing function thatrenders it unnecessary to manually zero the scale prior to the occupantentering person support apparatus 20. The automatic-zeroing function notonly zeroes the scale reading with respect to the weight present onperson support apparatus 20 prior to the occupant entering personsupport apparatus 20, but also automatically zeros the scale readingwhile the occupant is supported on person support apparatus 20 andobjects are added to, or removed from, person support apparatus 20.Further, as will be discussed in greater detail below, this graphillustrates one manner in which transitions between the slow and fastsampling rates of A/D converters 68 may be carried out.

As shown in FIG. 8, during an initial time period 94, the gross weight96 detected by the load cells 52 a-d remains generally steady. Whilethis gross weight is generally steady, controller 58 (or digital signalprocessors 74 of signal acquisition nodes 56 a, 56 b) instructs A/Dconverters 68 to periodically take readings at a low sampling rate. Asshown in FIG. 8, the low sampling rate readings occur during shortperiods of time that are labeled A. These short periods of time may lastfor a few seconds, or for different lengths of time. During these shortperiods of time, one or more readings from the load cells 52 are takenusing the low sampling rate of the A/D converters. These one or morereadings are used to generate an accurate reading of the gross weightdetected by the load cells 52 during these time periods A. This accurateweight reading is a tare weight reading and is indicated by the letter Tin FIG. 8. This value is stored in a memory of person support apparatus20 and used later when calculating a weight of an occupant, as discussedin greater detail below. In between the time periods labeled A in FIG.8, readings from the A/D converters are taken at a fast sampling rate,as will be discussed more below.

It will be understood that the initial time period 94 shown in FIG. 8 isof an arbitrary length that may vary in actual practice. However long orshort the actual length of initial time period 94, the tare value T isdetermined from outputs of the load cells 52 using digitized samplesgathered during one or more of the slow sampling rate time periodslabeled A (which yield more accurate results). The initial time periodtransitions into an intermediate time period 98 when a change in thegross weight 96 is detected that is greater than a predefined threshold.If this change occurs during a time period A, it prompts load cellsystems 54, 54 a, and/or 54 b to switch the sampling rates of the A/Dconverters to the fast sampling rate. If this change occurs between timeperiods A when a fast sampling rate is already in use, the fast samplingrate continues to be used. In either case, the fast sampling rate isused to take readings from the load cells 52 throughout the intermediatetime period 98.

The intermediate time period 98 comes to an end when the amount ofvariation in the gross weight stabilizes (i.e. falls below a thresholdfor more than a threshold amount of time). Once intermediate time period98 ends, load cell system 54, 54 a, and/or 54 b periodically switchesits A/D converter sampling rates back to the slow rates for the briefamounts of time labeled A. In between time periods A of subsequent timeperiod 100, the A/D converters are switched back to their high samplingrate. During at least one of the time periods A of the subsequent timeperiod 100, the load cell system determines a gross weight value P. Thisrepresents the gross weight detected by the load cell system after theoccupant has entered person support apparatus 20. The load cell system(54, 54 a, or 54 b) thereafter automatically determines the occupant'sweight by subtracting the tare weight T from the gross weight value P.The particular component of the load cell system 54, 54 a, or 54 b thatperforms these calculations may vary in these systems between controller58 and the digital signal processors 74 of the signal acquisition nodes56 a, 56 b.

The load cell system concludes that the weight that was added to personsupport apparatus 20 during the intermediate time period 98 is that ofan occupant if the difference between the tare weight T and the grossweight value P is greater than a threshold S. If this difference is lessthan the value of the threshold S, then the load cell system concludesthat the added weight corresponds to an object having been added toperson support apparatus 20, rather than an occupant. Because the loadcell system automatically determines the tare weight T prior to theoccupant entering person support apparatus 20, it is not necessary forthe user to manually activate a taring or zeroing function prior to theoccupant entering person support apparatus 20, as in some prior artperson support apparatuses.

In some embodiments, the load cell system is configured to also utilizeother data when distinguishing between animate and inanimate objectsbeing added to person support apparatus 20. For example, in someembodiments, the load cell system looks for the presence of vital signsduring subsequent time period 100 (and in some cases, during initialtime period 96 as well). If vital signs are detected, the load cellsystem concludes that an occupant has entered person support apparatus20, even if the aforementioned weight difference is less than S.Alternatively, if no vital signs are detected, the load cell systemconcludes that no occupant has entered person support apparatus 20, evenif the aforementioned weight difference exceeds the value S.

In some embodiments, controller 58 and/or one or more signal acquisitionnodes 56 of load cell systems 54, 54 a, and/or 54 b are configured tocompare outputs from the load cells 52 both during initial time period94 and subsequent time period 100. In such embodiments, if vital signsare detected during initial time period 94, the load cell systemconcludes that an inanimate object has been added during theintermediate period, even if the object has a weight greater thanthreshold S. If vital signs are not detected during initial time period94, but are detected during subsequent time period 100, the load cellsystem concludes that an occupant has entered person support apparatus.If vital signs are not detected during either initial time period 94 orsubsequent time period 100, the load cell system concludes that aninanimate object was added to person support apparatus 20, regardless ofwhether the object's weight exceeds threshold S or not. Otherconclusions and/or algorithms for using the vital signs may beincorporated into any of the load cell systems 54, 54 a, and/or 54 b.

Still further, either in addition to, or in lieu of, using vital signsto distinguish between animate and inanimate objects positioned onperson support apparatus 20, any of the load cell systems 54, 54 a,and/or 54 b may look at changes in the center of gravity or massdistribution that exceed a threshold. If movement that is greater than athreshold is detected on the person support apparatus 20 after weighthas been added or removed, this is indicative of person supportapparatus being occupied by a person. If the previous weight change wasa reduction in weight, then the reduction was likely due to an inanimateobject being removed. If the previous weight change was an addition inweight, then the addition in weight was likely due to the personentering person support apparatus 20 (if the added weight was largeenough to signify a person and/or no movement was detected prior to thatweight addition), or it was likely due to an inanimate object beingadded (if the added weight was not large enough to signify a personand/or movement was detected prior to the weight addition). In additionto movement, the load cell system may also or alternatively look at thelocation of the added or removed weight to distinguish animate frominanimate objects. Occupants will tend to have their weight morecentered while inanimate objects will tend to be added peripherally.Methods for monitoring the movement and/or location of added and removedweights are disclosed in more detail in commonly assigned U.S. patentapplication Ser. No. 14/873,734 filed Oct. 2, 2015, by inventors MarkoKostic et al. and entitled PERSON SUPPORT APPARATUS WITH MOTIONMONITORING, the complete disclosure of which has already beenincorporated herein by reference.

FIG. 9 depicts a graph 92 a of the gross weight 96 sensed by load cells52 over a time period in which both an inanimate object has been placedon person support apparatus 20 and the occupant has entered personsupport apparatus 20. This graph illustrates one manner in which any ofload cell systems 54, 54 a, and/or 54 b may implement anautomatic-zeroing function as well an automatic accounting of objectsplaced on person support apparatus 20. Graph 92 a also illustrates amanner for transitioning between the slow and fast sampling rates of NDconverters 68.

As shown in FIG. 9, the load cell system (54, 54 a, and/or 54 b)calculates a tare weight T during an initial time period 94. This tareweight is labeled T1 in FIG. 9. The tare weight T1 is calculated duringone or more of the slow sampling rate periods of time that are labeledA. Between these time periods A, readings are taken at the fast samplingrate. When a change in the load cell outputs (gross weight 96) isdetected that exceeds a threshold, intermediate time period 98 commencesand—if a fast sampling rate is not already being used—the sampling rateis switched to the high sampling rate. The high sampling rate continuesthrough the intermediate time period 100.

After the changes in the gross weight subside below a threshold amount,intermediate time period 100 comes to an end, and the sampling rate isperiodically switched back to a slow rate for short time periods Aduring subsequent time period 100. During one or more of these shorttime periods A of subsequent time period 100, the load cell systemdetermines the gross weight, which in FIG. 9 is labeled T2. After T2 isdetermined, the load cell system subtracts T1 from T2 and compares thisdifference to the threshold S. Because this difference is less than thethreshold S, the load cell system concludes that the weight that wasadded to the person support apparatus 20 during the intermediate timeperiod 98 corresponds to an inanimate object, not the occupant.

During subsequent time period 100, the load cell system continues tomonitor the gross weight reading 96 to look for changes that exceed athreshold magnitude and/or time. When such a change is detected, secondintermediate time period 98 a commences, as shown in FIG. 9. During thistime period 98 a, to the extent readings are not already being taken atthe fast sampling rate, the load cell system switches to the fastsampling rate and continues to take readings at the fast sampling rateuntil the load cell readings settle. When the changes subside (i.e. thesettling occurs), second intermediate period 98 a ends and secondsubsequent time period 100 a begins. During second subsequent timeperiod 100 a, the sampling rate of the A/D converters 68 is periodicallyswitched back to the slow rate for brief periods of time A during whichone or more gross weight readings are taken. These gross weight readingsare identified by the letter P in FIG. 9. The load cell system subtractsthe previous tare weight T2 from P and compares the resulting differenceto threshold S. Because this difference exceeds S in this case, the loadcell system concludes that the weight added to person support apparatus20 during second intermediate time period 98 a corresponds to anoccupant.

Although not illustrated in FIG. 9 (or FIG. 8), the load cell systemprocesses the removal of objects from person support apparatus 20 andthe exit of the occupant from person support apparatus 20 in the samemanner. That is, the load cell system determines the difference betweenthe gross weight readings 96 after an intermediate period (e.g. 98, 98a, 98 b, etc.) and the gross weight readings 96 immediately prior tothat intermediate time period. The difference is then compared to thethreshold. If the removed weight is greater than S, the load cell systemconcludes that the occupant has departed. If the removed weight is lessthan S, the load cell system concludes that an inanimate object has beenremoved from the person support apparatus 20.

For both FIGS. 8 and 9, the load cell system continues to monitor thegross weight 96 readings after subsequent time period 100 in FIG. 8 andthe second subsequent time period 100 a in FIG. 9. The continuedmonitoring is carried out in the same manner as previously described.That is, any changes in the gross weight reading that exceed a thresholdmagnitude and/or threshold time cause the system to switch to the fastsampling rate (if not already operating at the fast sampling rate).After such transitions settle (e.g. intermediate time periods 98 a, 98b, etc.) the load cell system switches back to intermittently takingreadings during brief time periods A using the slow sampling rate, andreturning to the high sampling rate between time periods A. One or moreof the readings taken during a time period A are used to calculates agross weight. The control system compares the gross weight to theimmediately prior tare weight and determines if the weight added (orsubtracted) during the transition corresponds to a person or aninanimate object.

The load cell system (54, 54 a, and/or 54 b) keeps a record of the timeat which all inanimate objects are added to, or removed from, personsupport apparatus 20, as well as a record of the time at which theoccupant enters and leaves person support apparatus 20. Further, in someembodiments, the load cell system also calculates a total amount of timethat the occupant has been on person support apparatus 20 and/or a totalamount of time the occupant has been off of person support apparatus 20.These values are displayed on a display of control panel 62. Thisinformation gives a caregiver associated with the occupant of personsupport apparatus 20 an easily understandable measure of the mobility ofthe occupant. The caregiver is thus informed of how active or inactivethe occupant of person support apparatus 20 is, and can take follow upsteps, as appropriate, to encourage more activity of the occupant,particularly in cases where the occupant is a patient whose recoverywill likely be hastened by increased physical activity.

In some embodiments, the load cell system is adapted to display a ratioof the amount of total amount of time the occupant has spent in personsupport apparatus 20 versus the total amount of time the occupant hasspent out of person support apparatus 20, or vice versa. The ratio maybe displayed over any desired time period. For example, the ratio may becalculated based upon the occupant's presence and absence from personsupport apparatus 20 over the last 24 hours, the last 48 hours, sincethe occupant first starting using person support apparatus 20, or someother time period. Control panel 62 is configured, in some embodiments,to allow a user to select the time period over which the ratio iscalculated.

Still further, in some embodiments, person support apparatus 20 isconfigured to detect whether the occupant is asleep or not whensupported on person support apparatus 20. One suitable manner for makingthis determination is disclosed in commonly assigned U.S. patentapplication Ser. No. 14/776,842 filed Sep. 15, 2015, by inventorsMichael Hayes et al. and entitled PERSON SUPPORT APPARATUS WITH PATIENTINFORMATION SENSORS, the complete disclosure of which is incorporatedherein by reference. In these embodiments, the load cell system 54, 54a, and/or 54 b may be configured to calculate the ratio of theoccupant's absence from and presence on person support apparatus 20 (orvice versa) for only those time periods during which the occupant isawake. In other words, the load cell system may provide the user with ameasurement of how much of the occupant's waking hours he or she hasspent on person support apparatus 20 versus how much of the occupant'swaking hours he or she has spent off of person support apparatus 20.Still other manners of displaying the record of the occupant'sabsence/presence on person support apparatus 20, as well as the recordof objects added and removed from person support apparatus 20, may beimplemented.

In some embodiments of load cell systems 54, 54 a, and/or 54 b, once asteady state value of the gross weight 96 has been achieved in theinitial or subsequent time periods 94 or 100 (FIGS. 8 and 9) and a slowsampling rate has been used to take an accurate weight reading during atime period A, the load cell system may switch back to the fast samplingrate and remain there until one or more events occur. In other words,instead of having time periods A occur periodically, time periods A canbe modified to be aperiodic. Such events may include threshold-exceedingchanges that occur over time in the readings taken at the high samplingrate, user inputs, and/or other events. Regardless of the trigger forswitching back to the low sampling rate, the low sampling rate periodsof time A allow more accurate weight readings to be taken. Conversely,when using the faster sampling rate, the load cell system may be betterable to detect frequencies in the gross weight readings that are nototherwise detectable by the slow sampling rate. Such frequencies maycorrespond to the occupant's breathing, heart beat, or shivering, or tovibrations from a medical device or equipment positioned on or nearperson support apparatus 20, and/or from other sources.

In some embodiments of load cell system 54, 54 a, and/or 54 b,controller 58 and/or one or both of signal acquisition nodes 56 a, 56 bare configured to filter frequencies detected in the outputs of loadcells 52 that are above a cutoff frequency. In those embodiments wherethe occupant's vital signs are detected, the cutoff frequency isselected to be higher than the highest expected vital sign. As oneexample, a person's heart rate might not be expected to rise above150-200 beats per minute, in which case a cutoff frequency might beselected at somewhere between 300-400 Hertz, or something slightly abovethis range. By filtering out such frequencies, the components of theload cell outputs that are due to higher frequency vibrations areremoved. As noted previously, such vibrations may result from medicalequipment and/or devices that are positioned on or near person supportapparatus 20, or from other sources.

In any of the embodiments of load cell systems 54, 54 a, and 54 b, oneor more additional hardware lines may be added between controller 58 andthe signal acquisition nodes 56 a, 56 b, and/or between the two signalacquisition nodes 56 a, 56 b. Over such hardware lines, the signalacquisition nodes 56 a, 56 b, and/or controller 58 may transmit a squarewave, or other type of periodic signal. If this signal is not detectedby the receiving structure (e.g. one of nodes 56 a, 56 b, or controller58), this provides an indication of a fault in the transmittingstructure. A sounding device (e.g. a buzzer) is coupled to the hardwareline by a switch, or other structure, that closes in the absence of theperiodic signal from the hardware line, thereby activating the sounder.The activation of the sounder provides an indication to the user of afault in the load cell system. This method of notifying the user of afault is entirely hardware implemented, and therefore continues toprovide a notification to the user even in the presence of a software orprocessor fault with any of controller 58 and/or nodes 56 a, 56 b. Sucha hardware-designed sounding devices helps ensure users that, in theabsence of the activation of the sounding device, the load cell systemis continuing to operate properly, which is desirable when the load cellsystem is being used to implement one or more safety-important functions(e.g. detecting patient exit, vital signs, shivering, etc.).

When load cell system 54, 54 a, and/or 54 b is being used to detectshivering of the occupant of person support apparatus 20, controller 58is configured in some embodiments to send a message to an externaldevice when the presence of shivering is detected. In some of theseembodiments, the external device is a thermal control unit of the typedisclosed in commonly assigned U.S. patent application Ser. No.62/425,813 filed Nov. 23, 2016, by inventors Gregory Taylor et al. andentitled THERMAL SYSTEM, the complete disclosure of which isincorporated herein by reference. In such embodiments, the thermalcontrol unit uses the shivering message from controller 58 of personsupport apparatus 20 as a confirmation of the detection of shivering bythe thermal control unit. That is, the thermal control unit includes itsown shivering sensors, but does not provide a shivering alarm to a userunless the shivering is detected by multiple sensors, such as those ofthe load cell system of person support apparatus 20 and one or more ofthe shivering sensors coupled to the thermal control unit. Alternativemanners of processing the shivering message from person supportapparatus 20 may be implemented.

Control panel 62, in addition to controlling various aspects of loadcell systems 54, 54 a, and 54 b, may also include controls forcontrolling other aspects of person support apparatus 20 (e.g. motion).The control of these other functions may be carried out by controller58, or they may be carried out by one or more other controllers thatthat are in communication with motors or other components that arecontrollable by control panel 62.

Various additional alterations and changes beyond those alreadymentioned herein can be made to the above-described embodiments. Thisdisclosure is presented for illustrative purposes and should not beinterpreted as an exhaustive description of all embodiments or to limitthe scope of the claims to the specific elements illustrated ordescribed in connection with these embodiments. For example, and withoutlimitation, any individual element(s) of the described embodiments maybe replaced by alternative elements that provide substantially similarfunctionality or otherwise provide adequate operation. This includes,for example, presently known alternative elements, such as those thatmight be currently known to one skilled in the art, and alternativeelements that may be developed in the future, such as those that oneskilled in the art might, upon development, recognize as an alternative.Any reference to claim elements in the singular, for example, using thearticles “a,” “an,” “the” or “said,” is not to be construed as limitingthe element to the singular.

What is claimed is:
 1. A person support apparatus comprising: a frame; aplurality of load cells supported by the frame, each of the plurality ofload cells adapted to output analog signals indicative of loads detectedby the load cells; a support surface adapted to support thereon anoccupant of the person support apparatus, the support surface beingsupported by the load cells such that a weight of the occupant isdetectable by the load cells when the occupant is positioned on thesupport surface; an analog-to-digital converter adapted to convertanalog signals from at least one of the load cells into digital signalsat a first rate; and a controller adapted to analyze the digital signalsfrom the analog-to-digital converter to determine when the occupantsupported on the support surface is shivering.
 2. The person supportapparatus of claim 1 wherein the analog-to-digital converter is furtheradapted to convert the analog signals from at least one of the loadcells into the digital signals at a second rate slower than the firstrate, and the controller is further adapted to analyze the digitalsignals from the analog-to-digital converter to determine when theoccupant is shivering when the analog-to-digital converter is operatingat the first rate but not when operating at the second rate.
 3. Theperson support apparatus of claim 1 wherein the plurality of load cellsare part of an exit detection system adapted to detect when the occupantof the person support apparatus exits therefrom.
 4. The person supportapparatus of claim 3 wherein the controller is further adapted totransmit an exit detection message off of the person support apparatusto an off-board device when the occupant exits.
 5. The person supportapparatus of claim 3 wherein the controller is further adapted totransmit a shivering message off of the person support apparatus to anoff-board device when the controller detects the occupant is shivering.6. The person support apparatus of claim 5 wherein the off-board deviceis a thermal control unit adapted to control a temperature of theoccupant.
 7. The person support apparatus of claim 2 wherein thecontroller is further adapted to switch between the first rate and thesecond rate based upon the digital signals from the analog-to-digitalconverter.
 8. The person support apparatus of claim 2 wherein thecontroller is adapted to switch to the first rate when a change above athreshold amount occurs in the digital signals from the at least one ofthe load cells.
 9. The person support apparatus of claim 8 wherein thecontroller is adapted to switch to the second rate when changes abovethe threshold amount are not detected for a threshold time in thedigital signals from the at least one of the load cells.
 10. The personsupport apparatus of claim 8 wherein the controller is adapted todetermine the weight of the occupant when the analog-to-digitalconverter is operating at the second rate, and wherein the controller isfurther adapted to automatically determine a tare weight before theoccupant enters the support surface.
 11. A person support apparatuscomprising: a frame; a plurality of load cells supported by the frame,each of the load cells adapted to output analog signals indicative ofloads detected by the load cells; a support surface adapted to supportthereon an occupant of the person support apparatus, the support surfacebeing supported by the load cells such that a weight of the occupant isdetectable by the load cells when the occupant is positioned on thesupport surface; a first signal acquisition node comprising a firstanalog-to-digital converter adapted to convert analog signals from afirst one of the load cells into digital signals; a second signalacquisition node spaced away from the first signal acquisition node, thesecond signal acquisition node comprising a second analog-to-digitalconverter adapted to convert analog signals from a second one of theload cells into digital signals; and a controller spaced from the firstand second signal acquisition nodes, the controller communicativelycoupled to the first and second signal acquisition nodes and adapted todetermine a weight supported on the support surface based upon thedigital signals from the first and second signal acquisition nodes, thecontroller further adapted to analyze the digital signals from the firstand second signal acquisition nodes to determine when the occupantsupported on the support surface is shivering.
 12. The person supportapparatus of claim 11 wherein the plurality of load cells are part of anexit detection system adapted to detect when the occupant of the personsupport apparatus exits therefrom.
 13. The person support apparatus ofclaim 12 wherein the controller is further adapted to transmit an exitdetection message off of the person support apparatus to an off-boarddevice when the occupant exits.
 14. The person support apparatus ofclaim 11 wherein the controller is further adapted to transmit ashivering message off of the person support apparatus to an off-boarddevice when the controller detects the occupant is shivering.
 15. Theperson support apparatus of claim 14 wherein the off-board device is athermal control unit adapted to control a temperature of the occupant.16. The person support apparatus of claim 11 wherein the first signalacquisition node sends the digital signals from the firstanalog-to-digital converter to the second signal acquisition node, andthe second signal acquisition node sends the digital signals from boththe first and second analog-to-digital converters to the controller. 17.The person support apparatus of claim 11 wherein the first signalacquisition node and the first one of the load cells are both positionedadjacent a head end of the person support apparatus, and the secondsignal acquisition node and the second one of the load cells are bothpositioned adjacent a foot end of the person support apparatus.
 18. Theperson support apparatus of claim 11 wherein the controller is adaptedto automatically determine a tare weight of the support surface based onthe digital signals from the first and second signal acquisition nodes,the controller adapted to automatically determine the tare weight beforethe occupant enters the support surface.
 19. The person supportapparatus of claim 11 wherein both the first and secondanalog-to-digital converters are adapted to operate at a first rate andat a second rate, and wherein the controller is adapted to instruct thefirst and second analog-to-digital converters which of the first andsecond rates to operate at.
 20. The person support apparatus of claim 11wherein both the first and second analog-to-digital converters areadapted to operate at a first rate and at a second rate; the firstsignal acquisition node includes first processing circuitry adapted toanalyze the digital signals from the first analog-to-digital converterto determine whether to operate the first analog-to-digital converter atthe first rate or the second rate; and the second signal acquisitionnode includes second processing circuitry adapted to analyze the digitalsignals from the second analog-to-digital converter to determine whetherto operate the second analog-to-digital converter at the first rate orthe second rate.